Anxiety & Addiction Treatment Centers Near You
Anxiety disorders and substance use disorders often occur together, each exacerbating the other. Discover treatment centers specializing in co-occurring disorder care with integrated mental health and addiction treatment.
Found 9,213 rehab centers specializing in anxiety disorders across the United States.
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Find Dual Diagnosis Treatment Centers for Anxiety and Addiction
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Family and Childrens Agency Inc, situated in Norwalk, CT, offers tailored support for individuals of all ages, including children and adults, grappling with substance use and co-occurring mental health challenges. Their array of services includes intensive outpatient, outpatient, and standard outpatient care. Treatment modalities employed encompass 12-step facilitation, anger management techniques, and cognitive behavioral therapy. A distinguishing feature of this center is its specialized programming designed for adult women, particularly those who have faced intimate partner violence, domestic abuse, or sexual assault. The agency is dedicated to providing comprehensive and compassionate care to women of diverse age groups—from young adults to seniors—as they embark on their journey towards recovery and well-being.
The Family and Childrens Association, situated in Hicksville, NY, delivers a complete spectrum of addiction recovery support. This establishment facilitates the crucial processes of detoxification and substance abuse rehabilitation through structured intensive outpatient and regular outpatient care, which encompasses outpatient detoxification services. Employing therapeutic methods like anger management, brief intervention, and cognitive behavioral therapy, this institution provides care for adolescents, adult men, and adult women. Addressing the needs of both adults and younger individuals, the center features tailored programs designed for different age demographics and genders. Committed to high standards of care and scientifically validated techniques, the Family and Childrens Association is devoted to assisting individuals in their journey towards lasting sobriety.
The Family Service Assoc of Bucks County, located in Langhorne, PA, specializes in addressing substance abuse and related mental health challenges for both adults and children. This center offers a range of treatment options including intensive outpatient and outpatient services, as well as programs utilizing methadone, buprenorphine, or naltrexone. The facility employs established therapeutic methods like anger management, cognitive behavioral therapy, and the Matrix Model. By concentrating on trauma and co-occurring conditions, the center serves individuals of all genders, including older adults. Clients receive tailored care and scientifically-backed treatment to aid them in their path to recovery.
Family Services of the Piedmont in High Point, NC, provides outpatient addiction treatment for adults and young adults experiencing co-occurring severe mental health disorders. The center employs regular outpatient services incorporating methods like 12-step facilitation, anger management, and brief intervention. Addressing the needs of active military, adult men, and adult women, the facility accommodates a broad spectrum of individuals. By offering tailored, gender-specific programs for both men and women, the center ensures individualized therapeutic plans. Patients can anticipate compassionate care and assistance within a supportive atmosphere at this establishment.
Situated in Newark, NJ, the Family Service Bureau of Newark delivers extensive treatment options for substance use issues affecting both adults and young adults. This facility is adept at addressing co-occurring substance use disorders in conjunction with significant mental health conditions in adults and serious emotional challenges in children. It offers a range of services including intensive outpatient programs, outpatient day treatment, and partial hospitalization. Emphasizing 12-step facilitation, anger management, and brief intervention techniques, the center is equipped to support active duty military members as well as adult men and women. The center provides personalized care for male and female clients, ensuring that services are tailored to meet the unique needs of each individual.
Family Services of the Piedmont, situated in Greensboro, NC, provides a variety of outpatient treatment options for substance use aimed at both adults and young adults. This center is known for its expertise in managing co-occurring substance use disorders alongside serious mental health challenges in adults, in addition to addressing significant emotional issues in children. It features customized programs for active duty military members, as well as specific services for adult men and women, ensuring that care is adapted to the unique needs of each individual. Employing techniques like 12-step facilitation, anger management, and brief therapeutic interventions, the center prioritizes thorough and personalized healing. Committed to delivering high-quality support, Family Services of the Piedmont strives to assist individuals on their recovery journeys.
Family and Childrens Aid's New Milford office, listed in Danbury, Connecticut, treats children and adolescents through regular outpatient substance use care. Programs address criminal justice involvement, co-occurring mental health disorders, sexual abuse, domestic violence, and trauma. Medicaid, private insurance, self-payment, and a sliding fee scale are accepted, and Spanish is spoken.
Outpatient substance use treatment for children and adolescents is provided at the Danbury, Connecticut office of Family and Childrens Aid. Programs address forensic involvement, co-occurring disorders, sexual abuse, and trauma. Medicaid, private insurance, and a sliding fee scale are accepted, and services are available in Spanish and Portuguese.
The Community Support Program of Family and Childrens Center provides regular outpatient substance use treatment in Viroqua, WI, for children, adolescents, and adults. Services address criminal justice clients, co-occurring mental and substance use disorders, and survivors of domestic violence and trauma. Medicare, TRICARE, private insurance, and federal funding are accepted.
Family Service Association's Bucks County office in Quakertown, Pennsylvania, treats children, adolescents, adults, and seniors through outpatient and intensive outpatient care with buprenorphine and naltrexone, including programs for criminal justice clients and co-occurring disorders. Medicaid, self-payment, and federal funding are accepted, with sign language services.
Family Services of Northeast Wisconsin, situated in Green Bay, WI, delivers outpatient services for individuals of all ages struggling with substance use disorders, particularly those also experiencing mental health challenges. Their approach incorporates proven therapeutic methods including 12-step recovery support, techniques for managing anger, and brief intervention strategies. They offer tailored programs for adult women, expectant and new mothers, and those with dual diagnoses, ensuring a wide range of client needs are met. The center is committed to personalized treatment plans and fostering a nurturing atmosphere conducive to recovery for adults and older adults across the gender spectrum. This establishment is a valuable resource for families in need of integrated care for both addiction and mental wellness.
The Family Support Center, based in Winnemucca, NV, provides outpatient services aimed at addressing substance abuse alongside mental health issues in adults, as well as emotional challenges in younger clients. This center employs techniques such as brief intervention, cognitive behavioral therapy, and motivational interviewing in its treatment plans. It offers tailored programs for adolescents, adult males, and adult females, emphasizing high-quality care for individuals of all genders, including both adults and youth. The Family Support Center is recognized for its holistic approach to rehabilitation, positioning itself as an excellent option for individuals in search of customized and effective addiction recovery solutions.
Situated in Midland, MI, Family and Children's Services provides outpatient rehabilitation services for both adults and children dealing with substance use challenges alongside related mental health conditions. This center excels in anger management strategies, cognitive behavioral therapy, and motivational interviewing techniques. It offers customized programs for individuals who have faced issues such as intimate partner violence, trauma, or are managing both mental health and substance use disorders simultaneously. Catering to adults and seniors across all gender identities, the center is dedicated to offering exceptional care aimed at fostering enduring recovery and enhanced mental well-being.
Situated in Oil City, PA, Family Services and Childrens serves as a dedicated rehabilitation facility focused on various substance use recovery programs for adults. The center offers intensive outpatient, outpatient, and general outpatient treatment options. Employing proven methodologies including 12-step facilitation, cognitive behavioral therapy, and motivational incentives, the facility customizes its services to fit the unique requirements of each individual. With dedicated programs for active duty military personnel, teenagers, and adult males, Family Services and Childrens provides thorough care. This center is committed to delivering high-quality support for both men and women pursuing recovery from substance use challenges.
Family Servs and Child Aid Society in Oil City, PA, provides a full spectrum of care for individuals struggling with substance use disorders. Their program offerings include intensive outpatient, standard outpatient, and general outpatient services. Treatment modalities employed at this facility encompass 12-step facilitation, cognitive behavioral therapy, and contingency management/motivational incentives. They serve a diverse population, including adults, seniors, active duty military personnel, adolescents, and adult men, with specialized programs designed for both male and female clients. This center is committed to delivering personalized recovery support and effective addiction treatment.
Family and Children's Services, located in Tulsa, OK, provides an extensive array of treatment programs for substance use and concurrent mental health issues. Their offerings encompass various levels of care, including intensive and regular outpatient services designed for both adults and young adults. The facility emphasizes techniques such as anger management, brief interventions, and cognitive behavioral therapy. They also feature specialized programs tailored for adult men, women, and those who have faced trauma. Committed to personalized care, this center aims to deliver effective support for individuals of all genders on their journey to recovery.
Situated in Kearny, NJ, the Family Service Bureau delivers extensive rehabilitation services for those facing challenges with substance use disorders alongside co-existing mental health issues. The center features a variety of treatment options, including intensive outpatient, outpatient, and regular outpatient programs that implement evidence-based strategies such as 12-step facilitation, anger management, and brief interventions. The facility offers specialized programs aimed at supporting active duty military members, as well as adult men and women, addressing the needs of a wide array of individuals. Committed to providing exceptional, personalized care, this center serves adults and young adults of all genders, guiding clients through their recovery process.
Situated in Franklin, PA, Family Services delivers extensive substance abuse recovery services for adults and older individuals. They offer intensive outpatient, outpatient, and standard outpatient treatment modalities. This establishment emphasizes 12-step facilitation, cognitive behavioral therapy, and contingency management/motivational incentives, customizing treatment to each person's requirements. Distinct programs are available for active duty military members, young people, and adult males. Both male and female individuals receive dedicated assistance. Family Services is committed to providing high-quality care for those pursuing successful rehabilitation via a range of scientifically proven methods.
Situated in Payette, ID, Family Services Treatment provides an extensive array of treatments for substance use issues and co-occurring mental health disorders for both children and adults. The center offers tailored programs for various groups, including active duty military personnel, young individuals, and adult men. Treatment options include intensive outpatient, outpatient, and standard outpatient programs. The facility employs methods like anger management, brief interventions, and cognitive behavioral therapy, accommodating clients of all genders. Committed to delivering high-quality care and personalized treatment plans, Family Services Treatment aims to empower individuals on their path to recovery.
Situated in Bay Shore, NY, Family Servs League of Suffolk County delivers a wide range of rehabilitation services aimed at both adults and children struggling with addiction. The facility offers detox programs, treatment for substance abuse, and targeted support for individuals dealing with concurrent substance use and mental health issues. Available treatment options feature intensive outpatient services and outpatient care utilizing methadone, buprenorphine, or naltrexone. Emphasizing brief interventions, cognitive-behavioral therapy, and the Matrix Model, the center addresses the needs of both men and women, including those who have faced trauma. Additionally, the establishment provides gender-specific programs to ensure that both male and female clients receive the most effective and personalized treatment for their recovery journey.
Anxiety Disorders and Substance Use: Key Facts
Classification
Anxiety Disorders + Substance Use Disorder (Dual Diagnosis)
Co-occurrence
~20% of people with anxiety disorders also have SUD
Prevalence
40 million adults with anxiety disorders in the US (ADAA)
Common types
GAD, Social Anxiety, Panic Disorder, Phobias, OCD
Self-medication risk
Alcohol and benzodiazepines most commonly used
Benzo danger
Benzodiazepine withdrawal can be life-threatening
Safe medications
SSRIs, SNRIs, buspirone, hydroxyzine (non-addictive)
Key therapies
CBT, DBT, exposure therapy, mindfulness
Anxiety and Addiction: Why They Co-Occur
Self-medication with alcohol and benzodiazepines
Anxiety disorders cause persistent, overwhelming fear and worry that can make daily life feel unmanageable. Many people discover that alcohol or sedatives like Xanax provide fast, temporary relief from anxious thoughts and physical symptoms. This relief is real — but short-lived. Over time, the brain adapts and requires more of the substance to achieve the same calming effect, leading to tolerance, dependence, and addiction.
Substance-induced anxiety
The relationship also works in reverse. Stimulants like cocaine and methamphetamine directly trigger anxiety by flooding the brain with stress hormones. Chronic alcohol use disrupts GABA and glutamate systems, leaving the brain in a state of hyperexcitability. Even cannabis, often perceived as calming, can produce severe anxiety and panic attacks in many users — especially with today's high-THC products.
Withdrawal anxiety
When someone who has been using alcohol or benzodiazepines to manage anxiety tries to stop, rebound anxiety occurs — often worse than the original symptoms. This happens because the brain has downregulated its own calming mechanisms in response to the substance. The intense anxiety during withdrawal drives many people back to using, creating a cycle that is extremely difficult to break without professional help.
The vicious cycle
Anxiety leads to substance use for relief. Substance use worsens anxiety over time. Worsening anxiety drives more substance use. Each cycle deepens both the anxiety disorder and the addiction, making each condition harder to treat in isolation. This is why dual diagnosis treatment — addressing both conditions simultaneously — is the most effective approach for lasting recovery.
Types of Anxiety Disorders Treated in Rehab
Generalized Anxiety Disorder (GAD)
GAD involves persistent, excessive worry about everyday matters — health, finances, work, relationships — that is difficult to control and lasts six months or more. People with GAD often turn to alcohol to quiet the constant stream of worry. Over time, alcohol becomes the only way they know how to relax, and quitting means facing the full force of unmanaged anxiety.
Social Anxiety Disorder
Social anxiety causes intense fear of judgment, embarrassment, or rejection in social situations. Alcohol is the most common substance used to cope — many people with social anxiety cannot imagine attending a party, giving a presentation, or even making a phone call without drinking first. This pattern of "liquid courage" can quickly escalate into alcohol dependence.
Panic Disorder
Panic disorder causes sudden, intense episodes of overwhelming fear accompanied by physical symptoms — racing heart, chest tightness, difficulty breathing, dizziness. These attacks feel like medical emergencies. Benzodiazepines like Xanax provide rapid relief from panic attacks, making them feel like a lifeline. But benzodiazepine dependence develops quickly, and withdrawal can actually trigger more panic attacks.
Specific Phobias
Phobias are intense, irrational fears of specific situations or objects — flying, heights, medical procedures, enclosed spaces. People may use alcohol or sedatives to get through unavoidable situations that trigger their phobia. While less commonly associated with full addiction, phobia-driven substance use can develop into a pattern of avoidance that prevents people from ever addressing the underlying fear.
Obsessive-Compulsive Disorder (OCD)
OCD involves intrusive, unwanted thoughts (obsessions) and repetitive behaviors performed to reduce anxiety (compulsions). The relentless nature of OCD can drive people toward alcohol, marijuana, or other substances to temporarily quiet obsessive thoughts. Studies show that approximately 25% of people with OCD also meet criteria for a substance use disorder.
The Benzodiazepine Trap
How benzodiazepine dependence starts
Benzodiazepines — Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), and Klonopin (clonazepam) — are among the most commonly prescribed medications for anxiety. They work fast and effectively, providing near-instant relief from acute anxiety and panic. This rapid effectiveness is exactly what makes them so dangerous: the brain quickly associates the drug with relief, and tolerance develops within weeks of daily use.
Rapid tolerance and dose escalation
Within 2–4 weeks of regular use, most people need higher doses of benzodiazepines to achieve the same anxiety relief. Some increase their prescribed dose without telling their doctor. Others seek prescriptions from multiple providers or buy pills on the street. Tolerance develops even when the medication is taken exactly as prescribed, which is why most clinical guidelines now recommend benzodiazepines only for short-term use (2–4 weeks).
Dangerous withdrawal
Benzodiazepine withdrawal is one of the few substance withdrawals that can be fatal. Abruptly stopping benzodiazepines after prolonged use can cause seizures, psychosis, delirium, and death. Even with medical supervision, withdrawal must be managed through a slow, carefully monitored taper that can take weeks or months. This is why you should never stop taking benzodiazepines suddenly without medical guidance. Learn more about prescription drug abuse treatment.
Why medical taper is essential
A medical taper involves gradually reducing the benzodiazepine dose over weeks or months under professional supervision. The rate of reduction is adjusted based on how the patient responds. Longer-acting benzodiazepines like diazepam are sometimes substituted for shorter-acting ones like alprazolam to create a smoother taper. Throughout the process, non-addictive anxiety medications and therapy are introduced to provide alternative relief.
Safe Anxiety Medications During Recovery
SSRIs (Selective Serotonin Reuptake Inhibitors)
SSRIs like sertraline (Zoloft), escitalopram (Lexapro), and paroxetine (Paxil) are first-line medications for anxiety disorders. They have no abuse potential, do not produce euphoria, and are safe for people in recovery. SSRIs take 2–6 weeks to reach full effectiveness, which requires patience — but they provide sustained anxiety relief without the risks of benzodiazepines.
SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)
SNRIs like venlafaxine (Effexor) and duloxetine (Cymbalta) are effective for GAD, social anxiety, and panic disorder. They work on both serotonin and norepinephrine systems and are non-addictive. SNRIs are particularly useful for people who also experience chronic pain alongside anxiety, as they address both conditions.
Buspirone
Buspirone is an anti-anxiety medication specifically designed to treat GAD without addiction risk. Unlike benzodiazepines, buspirone does not cause sedation, cognitive impairment, or physical dependence. It takes 1–2 weeks to become effective and works best with consistent daily use. Buspirone is often a good choice for patients transitioning off benzodiazepines.
Hydroxyzine
Hydroxyzine (Vistaril) is an antihistamine with anti-anxiety properties. It provides fast-acting relief for acute anxiety without addiction risk, making it useful as a "rescue" medication during recovery when patients would otherwise reach for a benzodiazepine. It can cause drowsiness, which also makes it helpful for anxiety-related insomnia.
Addressing patient concerns
Many patients worry that non-benzodiazepine medications will not be strong enough. This concern is understandable — benzos work faster and feel more powerful. However, SSRIs and SNRIs provide more consistent, sustained anxiety relief without the rebound anxiety and cognitive fog that benzodiazepines cause with long-term use. Working closely with a psychiatrist experienced in addiction medicine ensures the right medication and dose are found for each individual.
Therapy Approaches for Anxiety and Addiction
Cognitive Behavioral Therapy (CBT)
CBT is the gold standard treatment for anxiety disorders and is equally effective for addiction. CBT teaches patients to identify the catastrophic thought patterns that fuel anxiety ("What if something terrible happens?"), challenge their accuracy, and replace them with realistic, balanced thinking. For addiction, CBT identifies triggers and builds concrete coping strategies that do not involve substances.
Dialectical Behavior Therapy (DBT)
DBT was originally developed for emotional dysregulation and is particularly effective for anxiety combined with addiction. DBT teaches four core skills: mindfulness (staying present instead of worrying), distress tolerance (surviving crises without substances), emotion regulation (managing intense feelings), and interpersonal effectiveness (communicating needs assertively).
Exposure therapy
Exposure therapy is the most effective treatment for specific phobias, social anxiety, and panic disorder. Under professional guidance, patients gradually face feared situations in a controlled, safe manner. Over time, the brain learns that the feared outcome does not occur, and anxiety diminishes naturally. For people in recovery, exposure therapy provides a permanent alternative to using substances to avoid feared situations.
Mindfulness-based approaches
Mindfulness meditation and mindfulness-based stress reduction (MBSR) train patients to observe anxious thoughts without reacting to them. Rather than trying to eliminate anxiety, mindfulness changes the relationship with it — allowing worry to pass through without triggering panic or substance use. Research shows mindfulness reduces both anxiety symptoms and relapse rates in recovery.
What to Expect in Dual Diagnosis Treatment
Comprehensive assessment
Treatment begins with a thorough evaluation of both the anxiety disorder and the substance use disorder. Clinicians determine which anxiety disorder is present, how severe it is, what substances are involved, and whether the anxiety is primary (existed before substance use) or substance-induced. This assessment guides every aspect of the treatment plan.
Medication stabilization
If benzodiazepines are involved, a medically supervised taper begins. At the same time, non-addictive anxiety medications (SSRIs, SNRIs, buspirone) are introduced. Because these medications take weeks to become fully effective, this overlap period requires close medical monitoring and strong therapeutic support.
Therapy phases
Early therapy focuses on stabilization, psychoeducation, and building basic coping skills. As patients stabilize, therapy deepens into CBT, DBT, or exposure work targeting the specific anxiety disorder. Individual therapy addresses personal history and trauma, while group therapy provides peer support from others managing the same dual challenge.
Gradual anxiety exposure
Once patients are stable and have basic coping tools, therapists gradually introduce exposure to anxiety-provoking situations. This might mean social interactions for social anxiety, uncertainty tolerance exercises for GAD, or interoceptive exposure for panic disorder. Each step builds confidence that anxiety can be tolerated without substances.
Aftercare with ongoing anxiety management
Discharge planning includes ongoing psychiatric care, continued therapy, medication management, and relapse prevention strategies specific to anxiety triggers. Support groups, alumni programs, and step-down care (from residential to outpatient, or from IOP to standard outpatient) ensure the transition back to daily life is gradual and supported.
Important: Anxiety may temporarily worsen during early recovery as brain chemistry rebalances. This is normal and manageable with professional support. The increase in anxiety does not mean treatment is failing — it means the brain is healing and learning to regulate itself without substances.
Frequently Asked Questions About Anxiety and Addiction
How are anxiety and addiction connected?
Anxiety disorders and substance use disorders frequently co-occur. Some people develop substance dependence after self-medicating anxiety symptoms with alcohol or drugs. Others develop anxiety as a consequence of substance use or during withdrawal. Both conditions interact, with each worsening the other, which is why integrated dual diagnosis treatment addressing both simultaneously is most effective.
Can I take anxiety medication during addiction treatment?
Yes, but medication must be carefully managed. Benzodiazepines like Xanax and Ativan are avoided due to their high addiction potential. Non-addictive alternatives exist and are highly effective: SSRIs, SNRIs, buspirone, and hydroxyzine all treat anxiety without abuse risk. Dual diagnosis programs work with psychiatrists experienced in addiction medicine to find safe, effective anxiety management.
What types of anxiety disorders can be treated alongside addiction?
Dual diagnosis programs treat all anxiety disorders including Generalized Anxiety Disorder (GAD), Social Anxiety Disorder, Panic Disorder, specific phobias, and Obsessive-Compulsive Disorder (OCD) alongside substance use disorders. Treatment is individualized based on the specific anxiety diagnosis, the substance involved, and personal circumstances. Each anxiety type requires a tailored therapeutic approach.
What therapies help with anxiety and addiction together?
Evidence-based therapies include Cognitive Behavioral Therapy (CBT) to challenge anxious thoughts and addictive behaviors, Dialectical Behavior Therapy (DBT) for emotional regulation and distress tolerance, exposure therapy for specific fears, and mindfulness practices to manage both anxiety and cravings. These approaches address both conditions simultaneously.
Will my anxiety get worse when I stop using substances?
Anxiety may temporarily increase during early withdrawal and recovery as your brain chemistry rebalances. This is normal and expected. Quality dual diagnosis treatment provides support through this period with therapy, appropriate non-addictive medication, coping skills training, and medical monitoring. Long-term, treating both conditions properly leads to significant improvement in anxiety symptoms beyond what substances ever provided.
How do I find a treatment center for anxiety and addiction?
Look for centers explicitly offering dual diagnosis or co-occurring disorder treatment. Verify they have licensed mental health professionals, psychiatric services, medication management capabilities, and experience treating both conditions together. Use our directory to filter for dual diagnosis programs, read facility details, and verify accreditation. Contact admissions teams to discuss your specific needs.
Does insurance cover anxiety and addiction treatment?
Most health insurance plans cover dual diagnosis treatment under mental health and substance use benefits, thanks to the Mental Health Parity and Addiction Equity Act. Coverage varies by plan and may include inpatient, outpatient, detox, therapy, and psychiatric services. Contact your insurance provider or the treatment center's admissions team to verify your specific coverage and out-of-pocket costs.
Is it safe to stop taking Xanax cold turkey?
No, never stop taking Xanax (alprazolam) or any benzodiazepine abruptly. Benzodiazepine withdrawal can cause life-threatening seizures, psychosis, delirium, and death. A medically supervised taper — gradually reducing the dose over weeks or months — is the only safe way to discontinue benzodiazepines. If you are taking Xanax and want to stop, talk to a medical professional about a safe tapering plan. Learn more about prescription drug treatment.
How long does anxiety last after getting sober?
Rebound anxiety is typically most intense during the first 1–4 weeks of sobriety as the brain adjusts to functioning without substances. Most people see gradual improvement over 2–6 months as brain chemistry normalizes. Some experience post-acute withdrawal symptoms (PAWS) including anxiety for up to a year. With proper medication, therapy, and ongoing support, anxiety becomes increasingly manageable over time. The vast majority of people in recovery report significantly less anxiety after 6–12 months of sobriety than they experienced while actively using.
Medical Review and Sources
Trusted Resources
Substance Abuse and Mental Health Services Administration
Federal agency providing information, resources, and treatment locator for substance abuse and mental health.
Helpline: 1-800-662-4357
National Institute on Drug Abuse
NIH institute advancing science on drug use and addiction causes, consequences, and treatment.
National Institute on Alcohol Abuse and Alcoholism
NIH institute supporting research on alcohol's impact on health and providing treatment resources.
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